Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 100.4
Record Layout for Competitive Bidding Contract Supplier File
100.4 - Record Layout for Competitive Bidding Contract Supplier File
(Rev. 2088, Issued: 11-05-10, Effective: 01-01-11, Implementation: 01-03-11)
Field Name
Pic
Position
Comment
Supplier NSC
Number
X(10)
1 - 10
Supplier NPI Number X(10)
11 - 20
Field Name
Pic
Position
Comment
CBA Area
X(5)
21 - 25
16740 = Charlotte NC-SC
16741 = Charlotte NC-SC Mail Order
17140 = Cincinnati OH
17141 = Cincinnati OH Mail Order
17460 = Cleveland OH
17461 = Cleveland OH Mail Order
19100 = Dallas TX
19101 = Dallas TX Mail Order
28140 = Kansas MO-KS
28141 = Kansas MO- KS Mail Order
33100 = Miami FL
33101 = Miami FL Mail Order
36740 = Orlando FL
36741 = Orlando FL Mail Order
38300 = Pittsburgh PA
38301 = Pittsburgh PA Mail Order
40140 = Riverside CA
40141 = Riverside CA Mail Order
Bid Effective Date
X(8)
26 - 33
Bid Effective Date-
CC
9(2)
26 - 27
Bid Effective Date-
Year
9(2)
28 - 29
Bid Effective Date -
Month
9(2)
30 - 31
Bid Effective Date-
Day
9(2)
32 - 33
Bid Expiration Date
X(8)
34 - 41
Bid Expiration Date -
CC
9(2)
34 - 35
Field Name
Pic
Position
Comment
Bid Expiration Date -
Year
9(2)
36 - 37
Bid Expiration Date-
Month
9(2)
38 - 39
Bid Expiration Date -
Day
9(2)
40 - 41
Bid Switches Occurs
500 Times
X(500)
42-541
The switch occurrence equates to the
500 Times Bid category; i.e., Bid
Switch (1) denotes the supplier contract
for category 001
Bid Switch (1)
X(1)
42 - 42
Bid Switch (2)
X(1)
43 - 43
Filler
X(59)
542 - 600